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	    <div class="mui-inner-wrap">
	      <!-- 主页面标题 -->
	      <header class="mui-bar mui-bar-nav">
	      	<a id="goBack" class="mui-icon mui-icon-arrowleft mui-icon-bars mui-pull-left"></a>
	        <h1 class="mui-title">网上预投保</h1>
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	      <!-- 主页面内容容器 -->
	      <div class="mui-content mui-scroll-wrapper healthNotification">
	      	<div class="mui-scroll">
	      		<div class="unfold">
	      			<header class="titleH"><span class="title">健康告知</span><span class="mui-icon mui-icon-arrowup"></span></header>
	      			<ul class="infoList">
	      				<li class="questionItem">
	      					<p>1. 被保险人过去一年内体重是否有5公斤以上的增减?</p>
	      					<div class="ue-radioGroup">
	      						<div class="mui-input-row mui-radio">
											<label>是</label>
											<input name="radio1" type="radio">
										</div>
										<div class="mui-input-row mui-radio">
											<label>否</label>
											<input name="radio1" type="radio">
										</div>
	      					</div>
	      				</li>
	      				<li class="questionItem">
	      					<p>2. 是否吸烟或曾吸烟?</p>
	      					<div class="ue-radioGroup">
	      						<div class="mui-input-row mui-radio">
											<label>是</label>
											<input name="radio2" type="radio">
										</div>
										<div class="mui-input-row mui-radio">
											<label>否</label>
											<input name="radio2" type="radio">
										</div>
	      					</div>
	      				</li>
	      				<li class="questionItem">
	      					<p>3. 是否饮酒或曾饮酒?</p>
	      					<div class="ue-radioGroup">
	      						<div class="mui-input-row mui-radio">
											<label>是</label>
											<input name="radio3" type="radio">
										</div>
										<div class="mui-input-row mui-radio">
											<label>否</label>
											<input name="radio3" type="radio">
										</div>
	      					</div>
	      				</li>
	      				<li class="questionItem">
	      					<p>4. 过去五年是否曾接受X光、CT、MRI(核磁共振成像)、心电图、活组织检验、血液、超声波、内窥镜检查等或其它特殊检查?</p>
	      					<div class="ue-radioGroup">
	      						<div class="mui-input-row mui-radio">
											<label>是</label>
											<input name="radio4" type="radio">
										</div>
										<div class="mui-input-row mui-radio">
											<label>否</label>
											<input name="radio4" type="radio">
										</div>
	      					</div>
	      				</li>
	      				<li class="questionItem">
	      					<p>5. 是否有四肢、五官、手指或足趾缺损、视力、听力或中枢神经系统障碍、脊柱、胸廓、四肢或手指、足趾畸形、跛行、脊髓灰质炎所致的缺陷及其它缺陷?</p>
	      					<div class="ue-radioGroup">
	      						<div class="mui-input-row mui-radio">
											<label>是</label>
											<input name="radio5" type="radio">
										</div>
										<div class="mui-input-row mui-radio">
											<label>否</label>
											<input name="radio5" type="radio">
										</div>
	      					</div>
	      				</li>
	      				<li>
	      					<p>如上述任何答案为“是”，请说明原因。</p>
	      					<textarea class="reason" name="" rows="" cols=""></textarea>
	      				</li>
	      			</ul>
	      		</div>
	      		<div class="unfold" style="margin-top: 10px;">
	      			<header class="titleH"><span class="title">财务告知</span><span class="mui-icon mui-icon-arrowup"></span></header>
	      			<ul class="infoList">
	      				<li class="questionItem">
	      					<p>1. 被保险人过去一年内体重是否有5公斤以上的增减?</p>
	      					<div class="ue-radioGroup">
	      						<div class="mui-input-row mui-radio">
											<label>是</label>
											<input name="radio1" type="radio">
										</div>
										<div class="mui-input-row mui-radio">
											<label>否</label>
											<input name="radio1" type="radio">
										</div>
	      					</div>
	      				</li>
	      				<li class="questionItem">
	      					<p>2. 是否吸烟或曾吸烟?</p>
	      					<div class="ue-radioGroup">
	      						<div class="mui-input-row mui-radio">
											<label>是</label>
											<input name="radio2" type="radio">
										</div>
										<div class="mui-input-row mui-radio">
											<label>否</label>
											<input name="radio2" type="radio">
										</div>
	      					</div>
	      				</li>
	      				<li class="questionItem">
	      					<p>3. 是否饮酒或曾饮酒?</p>
	      					<div class="ue-radioGroup">
	      						<div class="mui-input-row mui-radio">
											<label>是</label>
											<input name="radio3" type="radio">
										</div>
										<div class="mui-input-row mui-radio">
											<label>否</label>
											<input name="radio3" type="radio">
										</div>
	      					</div>
	      				</li>
	      				<li class="questionItem">
	      					<p>4. 过去五年是否曾接受X光、CT、MRI(核磁共振成像)、心电图、活组织检验、血液、超声波、内窥镜检查等或其它特殊检查?</p>
	      					<div class="ue-radioGroup">
	      						<div class="mui-input-row mui-radio">
											<label>是</label>
											<input name="radio4" type="radio">
										</div>
										<div class="mui-input-row mui-radio">
											<label>否</label>
											<input name="radio4" type="radio">
										</div>
	      					</div>
	      				</li>
	      				<li class="questionItem">
	      					<p>5. 是否有四肢、五官、手指或足趾缺损、视力、听力或中枢神经系统障碍、脊柱、胸廓、四肢或手指、足趾畸形、跛行、脊髓灰质炎所致的缺陷及其它缺陷?</p>
	      					<div class="ue-radioGroup">
	      						<div class="mui-input-row mui-radio">
											<label>是</label>
											<input name="radio5" type="radio">
										</div>
										<div class="mui-input-row mui-radio">
											<label>否</label>
											<input name="radio5" type="radio">
										</div>
	      					</div>
	      				</li>
	      			</ul>
	      		</div>
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